Ne míebu ƒuwo ŋu la, míebua wo be wonye nane si naa ŋusẽ kple ŋusẽ ŋutilãa, alo? Nyateƒee. Gake ènya be nu wɔnuku aɖe ŋutɔ le míaƒe ƒu gãwo me, abe dɔwɔƒe gbagbe enea? Emae nye nusi míeyɔna be ƒumeŋuɖui, alo le Eŋlisigbe me be `(Bone Marrow)`. Esia nye míaƒe agbenɔnɔ ƒe akpa si hiã vevie eye wòle vevie ŋutɔ. Eyata egbea, mina míaƒo nu tso ƒumeŋuɖui sia ŋu le nya bɔbɔewo me.
Kpuie ko la, nukae nye ƒumeŋuɖui sia?
Ƒumeŋuɖui nye lãkusi falɛfalɛ si le abe jelly ene si le míaƒe ƒuwo me. Le nyateƒe me la, eyae nye ʋuwɔƒe vevitɔ le míaƒe ŋutilã me. Ƒumeŋuɖui sia mee wowɔa wò ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo katã le.
Bu ƒumeŋuɖui be enye dɔwɔƒe gã aɖe ƒe dɔwɔƒe vevitɔ. Dɔwɔƒe sia nye afisi ŋutilã wɔa "dɔwɔla" ƒomevi vovovo siwo wòhiã (i.e. ʋumenugbagbeviwo) le eye wòɖoa wo ɖe ŋutilã bliboa me to ʋukawo me.
- Ʋumenugbagbevi Dzĩwo: Esiawoe nye "dɔtsɔtsɔnadɔ" si tsɔa oxygen yia ŋutilã bliboa me.
- Ʋumenugbagbeviɣiwo: Esiawoe nye míaƒe ŋutilã ƒe "ametakpɔha." Wowɔa avu kple dɔlékui siwo hea dɔléle vɛ.
- Ʋumenugbagbeviɣidɔ: Esiae nye "dzraɖoha" si dzudzɔa ʋudodo ne abi aɖe le afi aɖe.
Esiawo katã dzɔna le ƒumeŋuɖui me. Menye ema ɖeɖeko o, ke ƒumeŋuɖui hã kpena ɖe ame ŋu wòdzraa ami ɖo be ŋutilãa nazã ne ehiãe. Eyata míate ŋu anɔ agbe ƒumeŋuɖui manɔmee o.
Ènya be ƒumeŋuɖui ƒomevi evee lia?
Ẽ, ƒumeŋuɖui ƒomevi vevi eve le míaƒe ŋutilã me. Wodea vovototo wo to woƒe amadede ta. Le mama dedie nu la, ame tsitsi ƒe ŋutilã me ƒomevi evea siaa ade kilogram 2.5.
Na míakpɔ nusiwo ƒomevi eve siawo nye ɖa.
| Ƒumeŋuɖui ƒomevi | Dɔ vevitɔ kple numeɖeɖe |
|---|---|
| Ƒumeŋuɖui Dzĩ | Esiae nye dɔwɔƒe vevitɔ si wɔa míaƒe ʋumenugbagbeviwo. Le atikewɔwɔ me la, míeyɔa nuwɔna sia be (Hematopoiesis) . Wowɔa ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo tso lãmenugbagbevi tɔxɛ siwo le ƒumeŋuɖui dzĩa me me. |
| Ƒumeŋuɖui Dzĩ | Ami koŋue nyea ƒomevi sia. Eƒe dɔ vevitɔe nye be wòadzra ami ɖo be woazã ne ŋusẽ hiã. Azɔ hã, lãmenugbagbevi siwo le eme ate ŋu akpe ɖe ame ŋu wòatu ƒuwo, ƒunukpeƒewo, lãmekawo, kple ami lãmenugbagbeviwo ɖo. |
Ne míenye ɖeviwo, vaseɖe esime míexɔ abe ƒe 7 ene la, ƒumeŋuɖui dzĩwoe nyea míaƒe ƒuwo katã kloe. Esia le alea elabena ɣemaɣi la, ŋutilãa hiã ʋumenugbagbevi geɖe hafi wòatsi. Ne míele tsitsim la, ƒumeŋuɖui dzĩ sia ƒe ɖewo trɔna zua ƒumeŋuɖui ɣi.
Ðe mate ŋu atsɔ ƒumeŋuɖui ana? Nu ka ta?
Ẽ, ate ŋui godoo. Enye nu gã aɖe si wòle be nàwɔ atsɔ aɖe ame aɖe ƒe agbe. Le dɔléle aɖewo, vevietɔ ʋumenugbagbeviɣidɔ, si nye ʋumenugbagbeviɣidɔ, me la, lãmenugbagbevi siwo le ƒumeŋuɖui me va zua esiwo mesɔ o, si wɔnɛ be ʋumenugbagbevi siwo le lãmesẽ me wɔwɔ nu eye wònana kansa lãmenugbagbevi siwo mesɔ o la tsina kabakaba.
Le ɣeyiɣi siawo tɔgbe me la, ne wodo ƒumeŋuɖui tso ame si le lãmesẽ me gbɔ yi ame si dze dɔ me (Bone Marrow Transplant) la, dɔnɔa ƒe ŋutilã ate ŋu adze ʋumenugbagbevi siwo le lãmesẽ me wɔwɔ gɔme ake.
Nusi dzɔna le esia mee nye be wotsɔa lãmenugbagbevi siwo le lãmesẽ me, siwo woxɔ tso nunala si le lãmesẽ me gbɔ la dea dɔnɔa ƒe ʋukawo me. Emegbe lãmenugbagbeviawo yia ɖanɔa dɔnɔa ƒe ƒumeŋuɖui me eye wodzea ʋumenugbagbevi siwo le lãmesẽ me wɔwɔ gɔme.
Dɔléle kawoe gblẽa nu le ƒumeŋuɖui ŋu?
Esi wònye be ƒumeŋuɖui koŋue ʋu dona le ta la, dɔléle vovovo siwo do ƒome kple ʋu ate ŋu ado mo ɖa ne ƒumeŋuɖui ƒe dɔwɔwɔ me gblẽ. Na míalé ŋku ɖe dɔléle mawo tɔgbe vevi aɖewo ŋu.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe |
|---|---|
| Ʋumenugbagbeviɣidɔ | Esia nye kansa si gblẽa nu le ƒumeŋuɖui kple ʋu ŋu. Lãmenugbagbevi siwo le ƒumeŋuɖui me trɔna eye wowɔa ʋumenugbagbevi ɣi gbogbo aɖewo siwo mesɔ o siwo dzi womeɖuna o. |
| Multiple Myeloma ƒe dɔléle | Lãmenugbagbevi tɔxɛ aɖe si woyɔna be plasma cells le ƒumeŋuɖui me va zua kansa eye wòtsina le mɔ si dzi womate ŋu aɖu o nu. |
| Aplastic Ʋusɔgbɔdɔ | Nusi dzɔna le esia mee nye be ƒumeŋuɖui mewɔa ʋumenugbagbevi dzĩwo (dzẽ, ɣi, kple ʋumenugbagbevi dzĩwo) wòsɔa gbɔ o. Ðeko wòle abe ɖe ƒumeŋuɖuidɔwɔƒea dzudzɔ dɔwɔwɔ ene. |
| Polycythemia Vera ƒe ʋumenugbagbeviɣidɔ | Esia dzɔna ne ƒumeŋuɖui la na ʋumenugbagbevi dzĩwo sɔ gbɔ akpa, si nana ʋua me ʋẽna eye wònana ʋu ƒe sisi ƒe afɔkua dzina ɖe edzi. |
| Myelodysplastic Dɔlélewo | Esia nye dɔlélewo ƒe ƒuƒoƒo. Le esia me la, ʋumenugbagbevi siwo ƒumeŋuɖui wɔna la menɔa lãmesẽ me o eye womewɔa dɔ nyuie o. Esia wɔe be ʋumenugbagbevi siwo le lãmesẽ me ƒe xexlẽme dzi ɖena kpɔtɔna le ŋutilãa me. |
Nukawoe nye dɔléle siawo ƒe dzesi siwo bɔ?
Togbɔ be dzesi tɔxɛ aɖewo le dɔléle ɖesiaɖe ŋu ne kuxi aɖe le ƒumeŋuɖui ŋu hã la, dzesi siwo gbɔna nye esiwo bɔ:
- Ðeɖiteameŋu kple ɖeɖiteameŋu: Ne ʋumenugbagbevi dzĩwo mesɔ gbɔ o la, ɔksidzin si ŋutilãa hiã la mesu esi o.
- Dɔléle enuenu: Le ʋumenugbagbevi ɣi siwo le lãmesẽ me ƒe anyimanɔmanɔ ta la, ŋutilã ƒe dɔlélenutsiŋutete gbɔdzɔna.
- Abi kple ʋu si dona bɔbɔe: Le ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si mede o ta la, ne wotsoe vie gɔ̃ hã la, exɔa ɣeyiɣi didi hafi ʋu dona. Ŋutilãa ate ŋu agbã bɔbɔe.
- Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ.
- Paleness (Ame ƒe amadede dzẽ).
Ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ enumake aɖaɖo aɖaŋu na wò.
Aleke woawɔ akpɔ ƒumeŋuɖui ƒe lãmesẽ?
Ne ɖɔkta aɖe susui be kuxi aɖe le wò ƒumeŋuɖui ŋu la, dodokpɔ eve li siwo ate ŋu aɖo kpe edzi. Zi geɖe la, wowɔa dodokpɔ siawo evea siaa le atike si naa ame ƒe lãme gbãna te, eyata màse veve boo o.
1. Ƒumeŋuɖui ƒe Ʋuʋu: Le esia me la, wozãa aŋe tɔxɛ aɖe tsɔ ɖea tsi kple lãmenugbagbeviwo ƒe kpɔɖeŋu aɖe le ƒumeŋuɖui me. Wodoa kpɔɖeŋu sia kpɔna be woakpɔ lãmenugbagbevi ƒomevi siwo tututu le ƒumeŋuɖui me kple nenye be wosɔ alo womesɔ o.
2. Ƒumeŋuɖui Ŋuti Numekuku:Le esia me la, wozãa aŋe si lolo vie tsɔ ɖea ƒumeŋuɖui ƒe lãkusi sue aɖe. Esia wɔnɛ be míesea lãmenugbagbeviwo ƒe ɖoɖo si le ƒumeŋuɖui me, kpakple lãmenugbagbevi ƒomeviwo kple woƒe lolome gɔme nyuie wu.
Le dodokpɔ sia megbe la, vevesese kple abi aɖewo ate ŋu anɔ afisi wotsɔ aŋea de ŋkeke ʋɛ aɖewo. Gake ema sɔ.
Nukae míate ŋu awɔ be ƒumeŋuɖui nanɔ lãmesẽ me?
Esi wònye be ƒumeŋuɖuie nye míaƒe ƒuwo, ʋu, kple lãmekawo ƒe gɔmeɖoanyi ta la, nu siwo akpe ɖe mía ŋu be akpa mawo nanɔ lãmesẽ me la wɔwɔ nyo na ƒumeŋuɖui hã.
- Ƒo nuɖuɖu siwo me protein sɔ gbɔ ɖo: De nuɖuɖu siwo me protein sɔ gbɔ ɖo abe lã si me ami mele o, tɔmelã, gbe, nuku, notsi, kple azi ene wò nuɖuɖu me. Protein le vevie na lãmenugbagbevi siwo le lãmesẽ me tutuɖo.
- Lé be na wò vitamin kple mineral: Iron, vitamin B9 (folic acid), kple vitamin B12 le vevie ŋutɔ na ʋu ƒe wɔwɔme. Ðu nuɖuɖu siwo me esiawo sɔ gbɔ ɖo (amagbewo, lã, nukuwo). Gake kpɔ egbɔ be yebia ɖɔkta hafi nàno vitamin-tikewo.
- Dzra atikewɔwɔ ƒe nɔnɔme bubuwo dzi: Atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu akpɔ ŋusẽ ɖe ƒumeŋuɖui ƒe dɔwɔwɔ dzi le mɔ si mele tẽ o nu, eyata ele vevie be nàda atike nyuitɔ na atikewɔwɔ me nɔnɔme bubu ɖesiaɖe si ate ŋu anɔ ŋuwò.
- Agbenɔnɔ si me lãmesẽ le: Kamedede nyuie, alɔ̃dɔdɔ nyuie, kple nuɖuɖu si da sɔ ɖea vi na ŋutilã ƒe akpa ɖesiaɖe, si me ƒumeŋuɖui hã le, ƒe lãmesẽ.
Ƒumeŋuɖui le abe kalẽtɔ si meɖoa to o, evɔ mehiã vevie le míaƒe ŋutilã me o ene. Enye míaƒe agbanɔamedzi be míanyae ahalé be na míaƒe lãmesẽ.
Gbedasi si Wotsɔ Yi Aƒeme
- Ƒumeŋuɖuie nye dɔwɔƒe vevitɔ si le míaƒe ƒuwo me si wɔa ʋumenugbagbevi dzĩwo (ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo).
- Ƒumeŋuɖui ƒomevi eve li, dzĩ kple ɣi. Ƒumeŋuɖui dzĩ koŋue wotsɔ wɔa ʋue.
- Le ʋumenugbagbeviɣidɔ abe ʋumenugbagbeviɣidɔ ene me la, ƒumeŋuɖui ƒe dɔwɔwɔ me gblẽna. Ƒumeŋuɖui dodo na ame si le lãmesẽ me ate ŋu anye atikewɔwɔ si axɔ na dɔnɔ mawo.
- Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne èkpɔ dzesiwo abe ɖeɖiteameŋu enuenu, dɔléle enuenu, alo ƒoƒo bɔbɔe ene.
- Nuɖuɖu si da sɔ si me protein kple vitamin sɔ gbɔ ɖo kple agbenɔnɔ si me lãmesẽ le kpena ɖe ƒumeŋuɖui ƒe lãmesẽ ŋu.
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